EmailMeForm
Adoption Application
The questions on this application are necessary to provide for the best interest of the pet and the adoptive family. Completion of this application does not guarantee adoption of any pet. References will be checked. The Fairfield Area Humane Society has the right to decline any application based on the information provided herein.
By filling out this application you agree to all FAHS requirements.
APPLICANT INFORMATION
Name of Pet (s):
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Your Name
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Address
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City and Zip Code
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Home Phone: (Home or Cell # required)
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Cell Phone: (Home or Cell # required)
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Email
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Your Age(you must be 21 or older to apply for a pet):
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Names and Ages of all others living in Household?
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How long at your current address:
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Please select
Less than 6 months
A year or more
More than 5 years
10 years or more
If less than 3 years at current address, length of time at previous address:
Does your home owners insurance allow this breed?
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Yes
No
Are you currently renting?
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Yes
No
Landlord's full name and phone
required for verification to own pets. (Enter N/A if not renting)
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Hours worked each day:
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Is someone home during the day?
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Yes
No
Who will be responsible for the animal’s care during the day?
Do you currently have a fenced in yard? Please specify type and height if applicable.
Please note: Lack of a fenced in yard does not disqualify you from adoption, though we may require a fenced in yard on a case-by-case basis for certain dogs.
Do you currently own any pets?
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None
One Cat
Two or More Cats
One Dog
Two or More Dogs
Bird(s)
Reptile(s)
Other
Name, Age, Species and Breed of Current pets:
Under what circumstances would you not keep the pet?
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Allergies
New Baby
Pet's Behavior
Divorce
New Job
Move
Illness
NONE
Have you done research on this breed and understand the responsibilities of ownership?
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Yes
No
Why do you want this particular animal?
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Companion
House Pet
Protection
Hunting Dog
Child's Pet
Do you have a fenced yard? If so, please specify height and type.
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Please note: Lack of a fenced yard will not disqualify you from adoption. We may require a fenced yard for certain dogs on a case-by-case basis.
Have you adopted a pet from FAHS before?
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Yes
No
Who and when? What happened to this animal?
Have you ever adopted from another agency?
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Yes
No
Who and when? What happened to this animal?
Your current veterinarian? Your current pets must be up to date on vaccines for application approval.
Their phone number?
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Name of pets that have been seen by this veterinarian?
If you have vet records for your current pet(s) that will help us expedite your application, please upload here. If you need to send more attachments then we have space for please email them to info@fairhumane.org
If you have vet records for your current pet(s) that will help us expedite your application, please upload here.
Have you ever been convicted of a felony?
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Yes
No
Please Explain
We DO verify veterinarian records for current pets in your household. We DO require to speak with your Landlord if you are a renter. We DO require that you are at least 21 to adopt from us. We will NOT process your application if all of the required information for your situation is not provided. By submitting this application I certify the information provided on this application is true and accurate to the best of my knowledge. I also understand that falsified information or significant omissions will disqualify me from further consideration for adoption of a Fairfield Area Humane Society animal. You also agree to a home inspection at any time by our Humane Officer. THANK YOU for your interest in our animals!
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I certify